Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207R00000X | Internist | 159664 | NY |
N | 111NI0900X | Internist | 159664 | NY |
Y | 207R00000X | Internist | MA051426 | NJ |
Y | 111NI0900X | Internist | MA051426 | NJ |
N | 207RC0000X | Internist - Cardiovascular Disease | 159664 | NY |
N | 207RC0000X | Internist - Cardiovascular Disease | MA051426 | NJ |
NPI | 1023087533 |
---|---|
Provider Name | Dr. Robin Yonna Feigelis |
First Address | Park Ridge, NJ 07656-1942 |
Second Address | Park Ridge, NJ 07656-1942 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 16/03/2006 |
Last Update Date | 29/04/2013 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
049730401 | (05) | NJ |
F02218 | (02) | NJ |